Cyst on scalp before and after

If you’re in Louisiana, Missouri, and looking for a dermatologist you can trust for clear answers and a thoughtful plan, St. Louis Dermatology & Cosmetic Surgery welcomes patients from Pike County at our Troy, MO office. Many people start with “I’m not sure if this is normal” — a changing spot, a flare that keeps coming back, or skin concerns that haven’t improved with over-the-counter products.

Our goal is to make the next step feel straightforward: evaluate what you’re seeing, explain what it means, and outline realistic options.

  • A Calm, Clear Approach:
    • Skin concerns can be stressful, especially when something is new or changing. We focus on education and clear next steps so you know what’s happening and why.
  • Evidence-Based, Personalized Care:
    • No two people have the same skin or history. Your plan should match your goals, your skin type, and what’s medically appropriate.
  • An Experience Where You Can Feel Confident:
    • Dr. Brandon T. Beal is double board-certified and fellowship-trained in Mohs surgery, facial plastic & reconstructive surgery, and dermatologic oncology. That background supports careful skin evaluations and high standards for procedural care when indicated.
  • Locally Owned and Relationship Driven:
    • We’re not a corporate chain. Patients from Louisiana, MO often tell us they appreciate a practice that feels personal, consistent, and medically focused.

Medical Dermatology

Our office provides comprehensive medical dermatology for Missouri residents. We treat acne, perform skin cancer screenings, evaluate and remove moles, and manage chronic conditions such as eczema, psoriasis, and rosacea. We also treat warts, cysts, and other benign skin growths. Every diagnosis and treatment plan is tailored to the individual, with a focus on long-term skin health and evidence-based care.

Cosmetic Dermatology

We offer cosmetic dermatology services designed to enhance natural features while maintaining balance and expression. Treatments include dermal fillers for facial restoration; acne scar treatments such as subcision, microneedling, and laser procedures; and laser treatments for pigmentation and sun damage. Each cosmetic consultation includes personalized recommendations based on your goals, skin type, and desired downtime. Results vary, and a consultation is required.

Surgical Procedures

Our practice provides advanced surgical dermatology with careful attention to both medical precision and cosmetic outcome. We perform skin cancer excisions, cyst and lipoma removal, scar revision procedures, and reconstructive repairs when needed following skin cancer removal or trauma. Dr. Beal’s fellowship training in facial plastic and reconstructive surgery allows for thoughtful repair techniques that aim to preserve both function and appearance.

Mohs Surgery

For certain types of skin cancer, Mohs Micrographic Surgery may be recommended. Dr. Beal is fellowship-trained in this specialized, tissue-sparing technique that enables precise removal of cancer while preserving as much healthy tissue as possible. During the procedure, tissue is examined under a microscope in real time to ensure clear margins before reconstruction. When appropriate, repairs are completed the same day to optimize healing and cosmetic outcomes.

Many insurance plans do not require a referral, but some do. If you’re unsure, call our office, and our team can help you understand what your plan typically requires.

A list of medications, the skincare products you’re currently using, and (if relevant) photos of the concern during a flare can be helpful—especially for rashes that come and go.

Often, yes. If you have multiple concerns, mention them when scheduling so we can book the right appointment type and allow appropriate time.

That happens frequently. Photos and notes about triggers (heat, stress, new products, etc.) can help us make a more accurate assessment

Justin Tow
5 days ago
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Lisa Atley
5 days ago
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
karen scott
6 days ago
Always great service and professional personnel. I wouldn't go anywhere else.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
James Burroughs
6 days ago
Awesome place. I would definitely recommend St. Louis Dermatology & Cosmetic surgery to my family and friends. The staff is great and very professional.
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Elizabeth Rubel
6 days ago
Friendly, timely, feel seen as an individual person not just a statistic, good at answering questions.
Mindy West
1 week ago
Great staff and Doctors!
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Lloyd Stanford
2 weeks ago
On time.Very cordial,knowledgeable.Highly satisfied.Dr Beal and staff are extremely accomodating.Highly recommend.
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
Daniel Cook
2 weeks ago
great experience
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Big D D
2 weeks ago
Response from the owner:Thank you so much for leaving us a stellar review!
Tracy Schuermann
2 weeks ago
This was my first time going there and I really liked it. The nurses and the doctor were very friendly. They made sure to listen to your concerns and explained the treatments throughly.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!

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